Transforming Mental Health in America
Sybil Goldman, M.S.W.
Special Assistant for ChildrenOffice of the Administrator
Gary M. Blau, Ph.D.
Chief, Child, Adolescent & Family Branch
Center for Mental Health Services
Substance Abuse, Mental Health Services Administration
““Imagination is the Imagination is the beginning of creation. beginning of creation. You imagine what you You imagine what you desire, you will what desire, you will what you imagine and at you imagine and at last you create what last you create what you will.”you will.”
~ George Bernard Shaw ~
““Imagination is the Imagination is the beginning of creation. beginning of creation. You imagine what you You imagine what you desire, you will what desire, you will what you imagine and at you imagine and at last you create what last you create what you will.”you will.”
~ George Bernard Shaw ~
The President’s New Freedom Commission on Mental Health
Achieving the Promise:Transforming Mental Health Care in America
4
Transforming Mental Health CareTransforming Mental Health Carein Americain America
Transforming Mental Health CareTransforming Mental Health Carein Americain America
“We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports - essentials for living, working, learning, and participating fully in the community.”
~ Presidents New Freedom Commission on Mental Health – Achieving the Promise: Transforming Mental Health Care in America ~
“We envision a future when everyone with a mental illness will recover, a future when mental illnesses can be prevented or cured, a future when mental illnesses are detected early, and a future when everyone with a mental illness at any stage of life has access to effective treatment and supports - essentials for living, working, learning, and participating fully in the community.”
~ Presidents New Freedom Commission on Mental Health – Achieving the Promise: Transforming Mental Health Care in America ~
The Goals of a Transformed System
Goal 1 Americans Understand that Mental Health Is Essential to Overall Health
Goal 2 Mental Health Care Is Consumer and Family Driven
Goal 3 Disparities in Mental Health Services Are Eliminated
* Includes 19 Key Recommendations
The Goals of a Transformed System
Goal 1 Americans Understand that Mental Health Is Essential to Overall Health
Goal 2 Mental Health Care Is Consumer and Family Driven
Goal 3 Disparities in Mental Health Services Are Eliminated
* Includes 19 Key Recommendations
President’s New FreedomCommission on Mental HealthCommission on Mental Health
The Goals of a Transformed System
Goal 4 Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice
Goal 5 Excellent Mental Health Care Is Delivered and Research Is Accelerated
Goal 6 Technology Is Used to Access Mental Health Care and Information
* Includes 19 Key Recommendations
The Goals of a Transformed System
Goal 4 Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice
Goal 5 Excellent Mental Health Care Is Delivered and Research Is Accelerated
Goal 6 Technology Is Used to Access Mental Health Care and Information
* Includes 19 Key Recommendations
President’s New FreedomCommission on Mental HealthCommission on Mental Health
7
Defining Transformation:Defining Transformation:Defining Transformation:Defining Transformation:
A continuous and complex process
New behaviors, new competencies
New sources of power
New partners
Profound changes in structure, culture, policy and programs
Will not happen over night
A continuous and complex process
New behaviors, new competencies
New sources of power
New partners
Profound changes in structure, culture, policy and programs
Will not happen over night
8
The process of Transformation includes The process of Transformation includes three distinct types of activities:three distinct types of activities:
• Continuous Continuous smallsmall stepssteps
• A series of exploratory A series of exploratory mediummedium jumpsjumps, and , and
• A few A few big big jumpsjumps
Goal 1: Americans Understand That Mental Health Is Essential to Overall Health
Goal 1: Americans Understand That Mental Health Is Essential to Overall Health
Recommendations
1.1 Advance and implement a national campaign to reduce the stigma of seeking care and a national strategy for suicide prevention
1.2 Address mental health with the same urgency as physical health
Recommendations
1.1 Advance and implement a national campaign to reduce the stigma of seeking care and a national strategy for suicide prevention
1.2 Address mental health with the same urgency as physical health
Goal 2:Mental Health Care Is Consumer and Family Driven
Goal 2:Mental Health Care Is Consumer and Family Driven
Recommendations
2.1 Develop an individualized plan of care for every adult with a serious mental illness and every child with a serious emotional disturbance
2.2 Address mental health with the same urgency as physical health
Recommendations
2.1 Develop an individualized plan of care for every adult with a serious mental illness and every child with a serious emotional disturbance
2.2 Address mental health with the same urgency as physical health
Goal 2:Mental Health Care Is Consumer and Family Driven
Goal 2:Mental Health Care Is Consumer and Family Driven
Recommendations
2.3 Align relevant Federal programs to improve access and accountability for mental health services
2.4 Create a Comprehensive State Mental Health Plan
2.5 Protect and enhance the rights of people with mental illnesses
Recommendations
2.3 Align relevant Federal programs to improve access and accountability for mental health services
2.4 Create a Comprehensive State Mental Health Plan
2.5 Protect and enhance the rights of people with mental illnesses
Goal 3:Disparities in Mental Health Services Are Eliminated
Goal 3:Disparities in Mental Health Services Are Eliminated
Recommendations
3.1—Improve access to quality care that is culturally competent
3.2—Improve access to quality care in rural and geographically remote areas
Recommendations
3.1—Improve access to quality care that is culturally competent
3.2—Improve access to quality care in rural and geographically remote areas
Goal 4: Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice
Goal 4: Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice
Recommendations
4.1—Promote the mental health of young children
4.2—Schools should have the ability to play a larger role in mental health care for children
Recommendations
4.1—Promote the mental health of young children
4.2—Schools should have the ability to play a larger role in mental health care for children
Goal 4: Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice
Goal 4: Early Mental Health Screening, Assessment, and Referral to Services Are Common Practice
Recommendations
4.3—Screen for co-occurring mental and substance abuse disorders and link with integrated treatment strategies
4.4—Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and support
Recommendations
4.3—Screen for co-occurring mental and substance abuse disorders and link with integrated treatment strategies
4.4—Screen for mental disorders in primary health care, across the lifespan, and connect to treatment and support
Goal 5: Excellent Mental Health Care Is Delivered and Research Is Accelerated
Goal 5: Excellent Mental Health Care Is Delivered and Research Is Accelerated
Recommendations
5.1—Accelerate research to promote recovery and resilience and, ultimately, to cure and prevent mental illnesses
5.2—Advance evidence-based practices (EBPs) using dissemination and demonstration projects and create a public-private partnership to guide their implementation
Recommendations
5.1—Accelerate research to promote recovery and resilience and, ultimately, to cure and prevent mental illnesses
5.2—Advance evidence-based practices (EBPs) using dissemination and demonstration projects and create a public-private partnership to guide their implementation
Goal 5: Excellent Mental Health Care Is Delivered and Research Is Accelerated
Goal 5: Excellent Mental Health Care Is Delivered and Research Is Accelerated
Recommendations
5.3 Improve and expand the workforce providing evidence-based mental health services and supports
5.4 Develop the knowledge base for… – Eliminating mental health disparities– Assessing long-term effects of
medications– Reducing impact of trauma– Improving acute care
Recommendations
5.3 Improve and expand the workforce providing evidence-based mental health services and supports
5.4 Develop the knowledge base for… – Eliminating mental health disparities– Assessing long-term effects of
medications– Reducing impact of trauma– Improving acute care
Goal 6:Technology Is Used To Access Mental Health Care and Information
Goal 6:Technology Is Used To Access Mental Health Care and Information
Recommendations
6.1 Use health technology and telehealth to improve access and coordination of mental health care, especially for Americans in remote areas or in underserved populations
6.2 Develop and implement integrated electronic health record and personal health information systems
Recommendations
6.1 Use health technology and telehealth to improve access and coordination of mental health care, especially for Americans in remote areas or in underserved populations
6.2 Develop and implement integrated electronic health record and personal health information systems
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Federal Partners for Transformation
Federal Partners for Transformation
U.S. Department ofHealth & Human Services
AoANIH/NIDA
ACFNIH/NIMH
AHRQHHS/OS
- ASPE
CDC - OCR
CMS - OD
- OPHS
HRSASAMHSA
IHS
U.S. Department ofHealth & Human Services
AoANIH/NIDA
ACFNIH/NIMH
AHRQHHS/OS
- ASPE
CDC - OCR
CMS - OD
- OPHS
HRSASAMHSA
IHS
Other Partners
Dept. of EducationDept. of Housing and Urban DevelopmentDept. of JusticeDept. of LaborSocial Security Adm.Dept. of Veterans AffairsWhite House Office of Faith-Based Community Initiatives
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SAMHSASAMHSA SAMHSASAMHSA
AACCOUNTABILITYCCOUNTABILITY CCAPACITYAPACITY EEFFECTIVENESSFFECTIVENESS
Measure and report program performance
Increase serviceavailability
Improve servicequality
VVision:ision: A Life in the Community for EveryoneA Life in the Community for Everyone
MMission:ission: Building Resilience and Facilitating Building Resilience and Facilitating Recovery for people with or at risk for Recovery for people with or at risk for mental or substance use disordersmental or substance use disorders
“One SAMHSA”
Each strand is individual Each strand is individual
and unique. Woven and unique. Woven
together they transform together they transform
into a strong and mighty into a strong and mighty
cloth.cloth.
Each strand is individual Each strand is individual
and unique. Woven and unique. Woven
together they transform together they transform
into a strong and mighty into a strong and mighty
cloth.cloth.
3
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Major SAMHSA InitiativesMajor SAMHSA InitiativesMajor SAMHSA InitiativesMajor SAMHSA Initiatives Implementing the Strategic Prevention FrameworkImplementing the Strategic Prevention Framework
Building Substance Abuse Treatment Capacity: Building Substance Abuse Treatment Capacity: Access to RecoveryAccess to Recovery
Addressing Needs of Youth and Adults with Addressing Needs of Youth and Adults with Co-occurring Mental and Substance Use Co-occurring Mental and Substance Use
DisordersDisorders
Transforming the Mental Health SystemTransforming the Mental Health System
23
SAMHSA’s Children and SAMHSA’s Children and Families WorkgroupFamilies Workgroup
SAMHSA’s Children and SAMHSA’s Children and Families WorkgroupFamilies Workgroup
• Membership:Membership:
Key policy and program leadership for children across three Key policy and program leadership for children across three Centers & OA: CMHS, CSAP & CSATCenters & OA: CMHS, CSAP & CSAT
• Purpose: Purpose:
Align SAMHSA vision, goals and activities Align SAMHSA vision, goals and activities to improve the to improve the quality and availability of quality and availability of a comprehensive, integrated continuum of services and supports — that includes — that includes prevention, early intervention, and treatment —for children, prevention, early intervention, and treatment —for children, with or at risk for mental and/or substance use disorders, and with or at risk for mental and/or substance use disorders, and their families.their families.
• Action Plan
More grows in the
garden than the
gardener sows.
~ Spanish Proverb ~
More grows in the
garden than the
gardener sows.
~ Spanish Proverb ~
25
SAMHSA Matrix Action PlansSAMHSA Matrix Action PlansSAMHSA Matrix Action PlansSAMHSA Matrix Action Plans
• Children and Families
• Strategic Prevention Framework
• Mental Health Transformation
• Co-occurring Disorders
Action Plans available online: www.samhsa.gov
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Children and Families two-year Children and Families two-year Action Plan – Action Plan – Selected TA StrategiesSelected TA Strategies
Children and Families two-year Children and Families two-year Action Plan – Action Plan – Selected TA StrategiesSelected TA Strategies
• Resource/toolkit on SA and MH screening for use in multiple settings
• TA document to help States use standardized screening tools
• Resource document on primary care/behavioral health interface: MH/SA screens of children 0 to 3 and their caregivers, and facilitated referrals
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Children and Families two-year Children and Families two-year Action Plan – Action Plan – Selected TA StrategiesSelected TA Strategies
Children and Families two-year Children and Families two-year Action Plan – Action Plan – Selected TA StrategiesSelected TA Strategies
• Pilot project, “Transforming, Linking and Caring (TLC),” links regional CMHS child-focused grantees to develop continuum of care
• Financing guide on strategies for integrating funding streams for SA and MH services and supports
• Prototype of individualized plan of care for children and their families
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Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected Grant OpportunitiesSelected Grant Opportunities
Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected Grant OpportunitiesSelected Grant Opportunities
• Create and award Child and Adolescent State Infrastructure Grants (SIG)
• Create new State Mental Health Transformation Grants (to include children and families, and build on Child and Adolescent SIG)
• Develop prototype grants to fund a State adolescent SA treatment coordinator to build State infrastructure and capacity for services integration
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Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected CollaborationsSelected Collaborations
Children and Families two-year Children and Families two-year Action Plan –Action Plan – Selected CollaborationsSelected Collaborations
• Collaborate with Dept. of Education to expand school-based MH programs
• Collaborate with ASPE, ACF, CMS and Depts. of Education and Justice on eliminating practice of parents giving up custody for treatment
• National Child Traumatic Stress Initiative (increase outreach to build new collaborative partnerships)
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SAMHSA’s 4 Standard Grant SAMHSA’s 4 Standard Grant AnnouncementsAnnouncements
SAMHSA’s 4 Standard Grant SAMHSA’s 4 Standard Grant AnnouncementsAnnouncements
• Services GrantsServices Grants – – provide funding toprovide funding to expand and strengthen effective, expand and strengthen effective, culturally competent mental health and substance abuse servicesculturally competent mental health and substance abuse services
• InfrastructureInfrastructure GrantsGrants– – support identification and implementation of support identification and implementation of systems/structures, but not designed to fund servicessystems/structures, but not designed to fund services
• Best Practices Planning & Implementation GrantsBest Practices Planning & Implementation Grants–– help help communities and providers identify practices to effectively meet local needs, communities and providers identify practices to effectively meet local needs, develop strategic plans for implementing/adapting those practices, and pilot-develop strategic plans for implementing/adapting those practices, and pilot-test practices prior to full-scale implementationtest practices prior to full-scale implementation
• Service-to-Science GrantsService-to-Science Grants – – provide funds to document and evaluate provide funds to document and evaluate innovative—but not yet proven effective–practices that address service gapsinnovative—but not yet proven effective–practices that address service gaps
Note: Note: Some funding opportunities do not fit standard announcements; separate stand-Some funding opportunities do not fit standard announcements; separate stand-alone grant announcements will be published in those instancesalone grant announcements will be published in those instances
““Frisbeetarianism is the Frisbeetarianism is the
belief that when you die, belief that when you die,
your soul goes up on your soul goes up on
the roof and gets the roof and gets
stuck..” stuck..”
~ George Carlin ~~ George Carlin ~
““Frisbeetarianism is the Frisbeetarianism is the
belief that when you die, belief that when you die,
your soul goes up on your soul goes up on
the roof and gets the roof and gets
stuck..” stuck..”
~ George Carlin ~~ George Carlin ~
T = (V + B + A) (CQI)2
The Transformation EquationThe Transformation EquationTransformation (Vision Belief Action) ( Continuous Quality Improvement )2
• The primary strategy of the Child, Adolescent & Family Branch for transforming mental health involves helping states, local communities & tribal organizations build strong systems of care. Key elements of this strategy include:
– Vision that provides direction for the work we do
– Belief that guides the work we do
– Action that is taken to make our vision and beliefs a reality; and
– Continuous Quality Improvement which helps ensure that our actions reflect the wishes and needs of the community being served
Transformation (Vision Belief Action) ( Continuous Quality Improvement )2
• The primary strategy of the Child, Adolescent & Family Branch for transforming mental health involves helping states, local communities & tribal organizations build strong systems of care. Key elements of this strategy include:
– Vision that provides direction for the work we do
– Belief that guides the work we do
– Action that is taken to make our vision and beliefs a reality; and
– Continuous Quality Improvement which helps ensure that our actions reflect the wishes and needs of the community being served
Center for Mental Health ServicesChild, Adolescent and Family Branch
Center for Mental Health ServicesChild, Adolescent and Family Branch
Vision– All children and their families live, learn, work, and participate fully in communities where they experience
joy, health, love, and hope.
Mission– Through investment and partnerships in home and community-based systems
of care, the Child, Adolescent and Family Branch promotes potential and the well-being of children and youth who have, or are at risk of having, a serious emotional or behavioral disturbance, and their families.
Accomplished by…
• Embracing families and their cultures,
• Eliminating disparities and fostering cultural and linguistic competence,
• Establishing effective service delivery models,
• Collaborating with other public and private child-serving systems and organizations, and
• Ultimately transforming children’s mental health care across America.
Vision– All children and their families live, learn, work, and participate fully in communities where they experience
joy, health, love, and hope.
Mission– Through investment and partnerships in home and community-based systems
of care, the Child, Adolescent and Family Branch promotes potential and the well-being of children and youth who have, or are at risk of having, a serious emotional or behavioral disturbance, and their families.
Accomplished by…
• Embracing families and their cultures,
• Eliminating disparities and fostering cultural and linguistic competence,
• Establishing effective service delivery models,
• Collaborating with other public and private child-serving systems and organizations, and
• Ultimately transforming children’s mental health care across America.
ContextContext
• CASSP Program begins in 1993
A budget of 4.9 million in when the CASSP program was initiated.
• CASSP Program begins in 1993
A budget of 4.9 million in when the CASSP program was initiated.
Children’s Program Federal Funding
Children’s Program Federal Funding
Fiscal Year (FY) 2004 budget: $102,353,000
Fiscal Year (FY) 2004 budget: $102,353,000
ContextContext
Eastern Kentucky
North Carolina (10 counties)
California 5 (Santa Cruz,San Mateo, Riverside Ventura, &
Solano Counties)
Vermont 1 (statewide)
Lyons, Riverside, & Proviso, IL
Bismarck, Fargo, & Minot, ND
Northern Arapaho Tribe, WY
Sault Ste. Marie Tribe, MI
Rhode Island 2 (statewide)
Hillsborough County, FL
Charleston, SC
King County, WA
Clark County, WA
Clackamas County, OR
Vermont 2 (statewide)
Passamaquoddy Tribe, ME
Rhode Island 1 (statewide)
Maine (4 counties)
Edgecombe, Nash, & Pitt Counties, NC
Alexandria, VA
Baltimore, MD
South Philadelphia, PA
Mott Haven, NY
Detroit, MI
Northwoods Alliance, WI Milwaukee, WI
Navajo Nation
Sacred Child Project, ND
San Diego County, CA
Napa & Sonoma Counties, CA
Lane County, OR
Santa Barbara County, CA
Greenwood, SC
West Palm Beach, FL
Contra Costa County, CA
Birmingham, AL
North Carolina (11 counties)
Oglalla Sioux Tribe, SD
Lancaster County, NE
Willmar, MN
Pima County, AZ
Marion County, IN
Charleston, WV
Montgomery County, MD
Delaware (statewide)
Burlington County, NJWestchester County, NY
Worcester, MANew Hampshire (3 regions)
Gwinnett & Rockdale Counties, GA
System-of-Care Communities of the Comprehensive Community Mental Health Services Program for Children and Their Families
United Indian Health Service, CA
Nebraska (22 counties)
San Francisco, CA
Clark County, NV
Rural Frontier, UT
Denver, CO
Las Cruces, NM
Wichita, KS
Parsons, KS
Travis County, TX
u
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Sacramento County, CAGlenn County, CA
Colorado (3 counties)El Paso County, TX
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Oklahoma
Ft. Worth, TX
Choctaw Nation, OK
St. Charles County, MO
Missouri
Broward County, FL
Connecticut (statewide)
Washington, DC
u
New York, NY
Lake County, IN
Illinois (Chicago area)
Idaho
Wai'anae & Leeward, HI
Fairbanks, AK
Yukon Kuskokwim Delta Region, AK
Guam
Puerto Rico
Oakland, CA
Monterey County, CA
Four Counties, OR
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Allegheny County, PA
Southern Consortium & Stark County, OH
Cuyahoga County, OH
Jackson, MS
St. Louis, MO
Nashville, TN
Louisiana (5 parishes)
3 counties & Catawba Indian Nation, SC
9-1-93 4
2-1-94 7
9-1-94 9
11-1-94 2
9-1-97 9
10-1-98 13
Date Numberu
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Funded Communities
11-1-98 1
9-30-99 20
5-1-00 1
7-1-00 1
10-1-02 18
9-30-03 7
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Date Number
Montana
Iowa
Arkansas
Ninety-six systems of care grants and cooperative agreements funded since 1993
Each community funded for 6 years Forty-five communities have completed federal funding phase (graduated)
Context: System of Care Development EffortsContext: System of Care Development Efforts
Forty-eight States impacted by the Children’s Program
364 counties served by the Program since 1993
Number of children served: More than 60,000
Context: System of Care Development EffortsContext: System of Care Development Efforts
Philosophy of the ProgramPhilosophy of the Program
Driven by the needs and preferences of the child and family;
Addressed through a strength-based approach;
Focus and management of services occurs in multi- agency and community base;
Services, partners and programs are responsive to cultural characteristics of the populations served and:
Families are partners in all phases of the program.
Systems of Care as a Transformation StrategySystems of Care as a Transformation Strategy
• Relentless customer focus
Beliefs + Actions x (CQI)2
Family Involvement
Technical Assistance
Research
System of CareTransformation
Cultural Competence
Site Improvement
Youth Involvement
• Moving from family involvement to family driven
• Fully embracing youth involvement
• Opening the data set• Establishing key benchmarks
• Recovery, resilience, prevention - defining how systems of care contribute
• Integrating technical assistance activities
• Moving from concept to reality. Tools & strategies
• Improving the site visit process
• Council on Collaboration and Coordination
• Family driven
FundedCommunities:Transforming
Systemsof Care
Integrated & Coordinated Technical Assistance
TransformationLeadership
Research AgendaFamily Driven
Youth Guided
Reducing Disparities
Continuous QualityImprovement
Approach
Council on Coordination & Collaboration Priority Focus Areas
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
1. Continuous quality improvement
• Ensuring the quality of outputs and outcomes of the sites, the partners and the Council.
1. Continuous quality improvement
• Ensuring the quality of outputs and outcomes of the sites, the partners and the Council.
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
2. Leadership to transform children’s mental health
• Synthesizing “lessons learned” regarding best practices for organizing and implementing mental health services to children and their families with a focus on practical outcomes of care.
• Strengthen overall program goals and activities.
• Move from “good” to “great.”
• Define recovery and resilience for children and families.
2. Leadership to transform children’s mental health
• Synthesizing “lessons learned” regarding best practices for organizing and implementing mental health services to children and their families with a focus on practical outcomes of care.
• Strengthen overall program goals and activities.
• Move from “good” to “great.”
• Define recovery and resilience for children and families.
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
3A. Family Driven
• Define “family-driven”
• Strengthen roles of families in systems of care
• Lessons learned about family involvement
• Further develop concept of family choice
• Develop concept of youth guided care
3A. Family Driven
• Define “family-driven”
• Strengthen roles of families in systems of care
• Lessons learned about family involvement
• Further develop concept of family choice
• Develop concept of youth guided care
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
3A. Family Driven
• Define “family-driven”
• Strengthen roles of families in systems of care
• Lessons learned about family involvement
• Further develop concept of family choice
• Develop concept of youth guided care
3A. Family Driven
• Define “family-driven”
• Strengthen roles of families in systems of care
• Lessons learned about family involvement
• Further develop concept of family choice
• Develop concept of youth guided care
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
3B. Youth Guided
• Develop National Youth Development Board
• Protocols and orientation for youth attending local and national meetings
3B. Youth Guided
• Develop National Youth Development Board
• Protocols and orientation for youth attending local and national meetings
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers
•Emphasize essential role of cultural & linguistic competence in achieving the vision & mission of the Branch and the Program.
•Enhance organizational capacity for cultural and linguistic competence.
4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers
•Emphasize essential role of cultural & linguistic competence in achieving the vision & mission of the Branch and the Program.
•Enhance organizational capacity for cultural and linguistic competence.
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers
•Increase awareness and knowledge of factors that contribute to disparities.
•Develop specific approaches that contribute to the goal of eliminating disparities.
4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers
•Increase awareness and knowledge of factors that contribute to disparities.
•Develop specific approaches that contribute to the goal of eliminating disparities.
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers
•Support Branch efforts to implement principles and concepts of cultural and linguistic competence.
4. Reduce disparities and enhance cultural and linguistic competence among policy-makers, administrators and service providers
•Support Branch efforts to implement principles and concepts of cultural and linguistic competence.
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
5. Develop a research agenda to enhance the understanding of how to develop and provide effective, efficient and coordinated services within systems of care.
• Priority list of research areas to guide the national evaluation
• Searchable electronic knowledge management system
• Infrastructure for supporting activities of a National Evaluation Data Users Group
• CQI report card
5. Develop a research agenda to enhance the understanding of how to develop and provide effective, efficient and coordinated services within systems of care.
• Priority list of research areas to guide the national evaluation
• Searchable electronic knowledge management system
• Infrastructure for supporting activities of a National Evaluation Data Users Group
• CQI report card
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
6. Provide an integrated and coordinated approach to technical assistance to CMHS system of care sites
• Develop a single coordinated technical assistance plan and feedback mechanism to meet the needs of the community.
• Clarify for funded sites the roles and assistance provided by Federal Partners
6. Provide an integrated and coordinated approach to technical assistance to CMHS system of care sites
• Develop a single coordinated technical assistance plan and feedback mechanism to meet the needs of the community.
• Clarify for funded sites the roles and assistance provided by Federal Partners
Council for Coordination & Collaboration Priority Focus AreasCouncil for Coordination & Collaboration Priority Focus Areas
6. Provide an integrated and coordinated approach to technical assistance to CMHS system of care sites
• Develop peer-to-peer network
• Review strategies for reducing
paperwork requirements of
sites. Identify areas of
duplication of effort.8
• Create CQI plan for Technical
Assistance Partners –
Consumer Technical Assistance
Program
6. Provide an integrated and coordinated approach to technical assistance to CMHS system of care sites
• Develop peer-to-peer network
• Review strategies for reducing
paperwork requirements of
sites. Identify areas of
duplication of effort.8
• Create CQI plan for Technical
Assistance Partners –
Consumer Technical Assistance
Program
Individualized Plans of CareIndividualized Plans of Care
• Identify and promote the development of
guidelines for individualized planning of care that
focus on developing comprehensive, consumer
and family-driven service plans -with an outcome
of recovery and resiliency - that cross various
systems and funding sources.
• Identify and promote the development of
guidelines for individualized planning of care that
focus on developing comprehensive, consumer
and family-driven service plans -with an outcome
of recovery and resiliency - that cross various
systems and funding sources.
Individualized Plans of CareIndividualized Plans of Care• Two-phase process
– Phase I, SAMHSA/CMHS will identify evidence-based
approaches to service planning and develop guidelines
for the implementation of such models.
– Phase II will include the convening of regional policy
academies for State-based teams to encourage the
implementation of such approaches and to refine the
guidelines based on State experiences.
• Two-phase process
– Phase I, SAMHSA/CMHS will identify evidence-based
approaches to service planning and develop guidelines
for the implementation of such models.
– Phase II will include the convening of regional policy
academies for State-based teams to encourage the
implementation of such approaches and to refine the
guidelines based on State experiences.
Individualized Plans of CareIndividualized Plans of Care• Collaboration
– Collaboration between the CMHS Associate Directors
for Consumer and Medical Affairs, and the Child,
Adolescent, and Family Branch of the Division of
Services and Systems Improvement along with
consultation with the SAMHSA Medical Director.
• Collaboration
– Collaboration between the CMHS Associate Directors
for Consumer and Medical Affairs, and the Child,
Adolescent, and Family Branch of the Division of
Services and Systems Improvement along with
consultation with the SAMHSA Medical Director.
Next Stage of Development for Transforming Systems of CareNext Stage of Development for Transforming Systems of Care
1) Strengthen the language regarding
implementing family involvement in
systems of care. This includes asking
applicants to operationalize how they
will address “family-driven” care.
2) Include additional requirements regarding
collaboration (e.g. identify priorities that are
consistent with the Action Agenda, including
Child Welfare and Juvenile Justice.
1) Strengthen the language regarding
implementing family involvement in
systems of care. This includes asking
applicants to operationalize how they
will address “family-driven” care.
2) Include additional requirements regarding
collaboration (e.g. identify priorities that are
consistent with the Action Agenda, including
Child Welfare and Juvenile Justice.CollaborationCollaboration
LanguageLanguage
Next Stage of Development for Transforming Systems of CareNext Stage of Development for Transforming Systems of Care3) Develop specific requirements to ensure strong
linkages between local systems of care and
statewide transformation efforts. Require
applicants to provide examples and develop
a plan for how they will address this issue.
4) Require applicants to demonstrate how they will
coordinate with other relevant federally funded
initiatives, including the Mental Health Block
Grant, Safe Schools, Healthy Students…etc.
3) Develop specific requirements to ensure strong
linkages between local systems of care and
statewide transformation efforts. Require
applicants to provide examples and develop
a plan for how they will address this issue.
4) Require applicants to demonstrate how they will
coordinate with other relevant federally funded
initiatives, including the Mental Health Block
Grant, Safe Schools, Healthy Students…etc.
CoordinationCoordination
CollaborationCollaboration
LinkagesLinkages
LanguageLanguage
Next Stage of Development for Transforming Systems of CareNext Stage of Development for Transforming Systems of Care
5)Add language requiring the development of youth involvement and youth leadership. Require Youth Coordinator position.
5)Add language requiring the development of youth involvement and youth leadership. Require Youth Coordinator position.
Youth involvement
Youth involvement
CoordinationCoordination
CollaborationCollaboration
LinkagesLinkages
LanguageLanguage
A problem can not be solved with the same consciousness that
created it. ~ Albert Einstein ~